The number of people dependent on solid fuels in Guatemala, Honduras and Nicaragua has been rising steadily, even though the fraction of population without access to clean cooking has declined. This poses challenges for achieving the first objective laid out in the United Nation’s Sustainable Energy for All (SE4ALL) vision of ensuring universal access to modern energy services by 2030. In this report, we assess household cooking energy patterns in these three Central American countries, and provide recommendations to improve access to clean cooking by 2030. We identify key knowledge and policy gaps in achieving universal access. Employing available data from household surveys, we develop a cooking energy service demand model to examine alternative future transition scenarios to achieve a universal clean cooking goal by 2030. We examine alternate pathways of achieving universal clean cooking objectives in each country, and quantify the health and emissions implications of changes in fuel demand between a baseline and alternative transition scenarios.